Using Reality Therapy

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Using Reality Therapy
2
Basic Needs

• Belonging or Love
• Power
• Fun
• Freedom

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Principles of Picture Album

• 1 Human beings are motivated to fulfill needs
  and wants. Human needs are common to all people.
  Wants are unique to each individual
• 2 The difference )frustration) between what
  human beings want and what they perceive they are
  getting from their environment produces specific
  behaviors

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Principles of Picture Album

• 3 Human behavior composed of doing, thinking,
  feeling and physiological behaviors is
  purposeful that is, it is designed to close the
  gap between what the person wants and what the
  person perceives he or she is getting.
• 4 Doing, thinking, and feeling are inseparable
  aspects of behavior and are generated from
  within, most of them are choices

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Principles of Picture Album

• 5 Human beings see the world through
  perceptions. There are two general levels of
  perception Low and High. The low level of
  perception implies knowledge of events or
  situations. A high level of perception gives
  values to those events or situations.

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Reality Therapy guidelines

• Always be
• Courteous
• Determined
• Enthusiastic
• Firm
• Genuine
• Suspend judgement
• Do the unexpected

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Reality Therapy guidelines

• Use humor
• Be yourself
• Share yourself
• Listen for metaphors
• Listen for themes
• Use summaries and focus
• Allow or impose consequences
• Allow silence
• Be ethical

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Things to avoid

• Dont accept excuses
• Dont punish, criticize or argue, allow
  consequences
• Dont give up easily

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Other guidelines

• Consultation
• Follow-up
• Continuing education

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Procedures of exploring

• What do you want?
• What do you Really want?
• What do you think people want from you?
• How do you look at it?
• Tell them what you have to offer, what you want
  from them, how you look at the situation
• Get a commitment to counseling

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Procedures of exploring total behavior

• What are you doing?
• What - specific
• Are current
• You client
• Doing total behaviors

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Evaluations Value Judgements

• Is your behavior helping or hurting you?
• Is what youre doing helping you get what you
  want?
• Is what youre doing against the rules?
• Is what youre doing realistic or attainable?
• Does it help you to look at it that way?
• How committed are you to the process of therapy
  and to changing your life will that level work
  to your advantage?
• Is it a helpful plan?

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Levels of Committment

• 1 I dont want to be here I was forced
• 2 I want the pleasure resulting from change,
  but I dont want to make the effort
• 3 Ill try
• 4 Ill do my best
• 5 Ill do whatever it takes

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A Positive Plan

• Need Fulfilling
• Simple
• Realistic and Attainable
• Something to DO, not Stop doing
• Dependent on the Doer
• Specific

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A Positive Plan

• Repetitive
• Choose to approach others first
• Choose to achieve something
• Choose to have fun
• Choose to act independently
• Immediate
• Realistic
• Process Centered
• Evaluated
• Firm
• Reinforced

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Paradoxical Techniques

• Learning reality Therapy
• Easy to understand difficult to practice
• Fulfillment of Needs
• Cannot fill directly only through album
• Conflict in Need Fulfillment
• Conflict with one another
• Behavioral System
• Focus on Doing, more aware of thinking, feeling
• Dont talk about feelings deal with them

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Paradoxical Techniques

• Process of Reality Therapy
• Attacking one issue on several fronts
• Cause of problem can be the effect
• Types
• Reframing re-labeling and redefining
• Ask what they are choosing to do
• Negative symptom seen as a positive
• Prescriptions
• Scheduling a symptom
• Restraining a behavior can fail in efforts to
  overcome
• Prescribing a Relapse

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When not to use Paradoxes

• Person feeling little involvement with the
  therapist
• Sociopath
• Paranoia
• When there is acute stress
• With families need additional training in
  family systems
• With much chaos/confusion
• Immature/hostile adult members
• Projection onto others